| Advanced Management Practice Physician Assistant Corporation | |
|
41715 Winchester Rd Ste 107 Temecula CA 92590-4853 | |
| (951) 501-0049 | |
| (833) 585-1122 |
| Full Name | Advanced Management Practice Physician Assistant Corporation |
|---|---|
| Speciality | Physician Assistant |
| Location | 41715 Winchester Rd Ste 107, Temecula, California |
| Authorized Official Name and Position | Allen Martin Phelps (PRESIDENT) |
| Authorized Official Contact | 7604006375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Management Practice Physician Assistant Corporation 4225 Executive Sq Ste 600 Pmb6042 La Jolla CA 92037 Ph: (760) 400-6375 | Advanced Management Practice Physician Assistant Corporation 41715 Winchester Rd Ste 107 Temecula CA 92590-4853 Ph: (951) 501-0049 |
| NPI Number | 1174346498 |
|---|---|
| Provider Enumeration Date | 11/05/2024 |
| Last Update Date | 12/10/2024 |
| Certification Date | 12/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174346498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 363A00000X | Physician Assistant | () | Primary |
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